Evaluation of abdominal and lumbar multifidus muscles thickness and relation to endurance, pain, fatigue and functional mobility in patients with Fibromyalgia syndrome: a case-control study.

IF 3.2 3区医学 Q2 RHEUMATOLOGY

Rheumatology International Pub Date : 2025-02-21 DOI:10.1007/s00296-025-05813-7

Yasemin Mirza, Fulden Sari, Pınar Diydem Yılmaz, Adem Küçük

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引用次数: 0

Abstract

Objective: The aim of present study was to compare abdominal (transversus abdominis (TrA), internal oblique (IO) and external oblique (EO)) and lumbar multifidus muscles (LM) evaluated with ultrasonographic (US) imaging in patients with FM (Fibromyalgia) and asymptomatic individuals and to examine the relationship between these muscle thickness and endurance, pain, fatigue and functional mobility.

Methods: Women with FM group (n: 53, age: 45.96 ± 9.96 years), and asymptomatic control group (n: 49, age: 45.12 ± 7.28), were included in this study. Pain severity, disease activity, physical activity level, fatique, thickness of TrA, IO, EO and LM muscles and endurance, and functional mobility were evaluated with the Visual Analogue Scale (VAS), Fibromyalgia Impact Questionnaire (FIQ), International Physical Activity Questionnaire- Short Form (IPAQ-SF), Fatigue Severity Scale (FSS), US imaging, McGill core endurance tests, and physical fitness tests, respectively. FM patients were classified according to the FSS score.

Results: The thickness of the IO (right side) (p = 0.013) and LM (both sides) (p < 0.001) muscles, lumbopelvic muscle endurance (all p < 0.001) and physical fitness tests (all p < 0.001) were lower in FM group compared to the asymptomatic group. No statistically significant differences were found in TrA, IO (left side), EO muscles thickness between the two groups (all p > 0.05). LM muscle thickness was significantly correlated with lumbopelvic muscle endurance (all p < 0.05), physical fitness tests (all p < 0.001) and fatique (p = 0.001). Moreover, significant differences in LM muscle thickness (p = 0.007), trunk flexor muscle endurance (p = 0.016), left trunk lateral flexor muscle endurance (p = 0.045) and 30-s chair stand test (p = 0.025) in favor of the low-fatigue group were detected.

Conclusion: The thickness of LM muscle, lumbopelvik endurance and functional mobility in FM patients have been affected negatively. These findings should be considered in management of FM.

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评估纤维肌痛综合征患者腹部和腰部多裂肌厚度及其与耐力、疼痛、疲劳和功能活动度的关系：一项病例对照研究。

研究目的本研究旨在比较 FM（纤维肌痛）患者和无症状者腹部（腹横肌（TrA）、腹内斜肌（IO）和腹外斜肌（EO））和腰部多裂肌（LM）的超声成像评估结果，并研究这些肌肉厚度与耐力、疼痛、疲劳和功能活动度之间的关系：研究对象包括患有 FM 的女性组（53 人，年龄：45.96 ± 9.96 岁）和无症状对照组（49 人，年龄：45.12 ± 7.28 岁）。分别采用视觉模拟量表（VAS）、纤维肌痛影响问卷（FIQ）、国际体力活动问卷-简表（IPAQ-SF）、疲劳严重程度量表（FSS）、美国成像、麦吉尔核心耐力测试和体能测试对疼痛严重程度、疾病活动、体力活动水平、疲劳、TRA、IO、EO 和 LM 肌肉厚度、耐力和功能活动度进行评估。根据 FSS 评分对 FM 患者进行分类：IO（右侧）（p = 0.013）和 LM（两侧）（p 0.05）的厚度。LM 肌肉厚度与腰椎肌肉耐力有明显相关性（均为 p 结论：LM 肌肉厚度、腰椎肌肉耐力与腰椎间盘突出症患者的腰椎肌肉耐力有明显相关性：FM 患者的 LM 肌肉厚度、腰椎肌耐力和功能活动度受到了负面影响。在治疗 FM 时应考虑这些发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rheumatology International 医学-风湿病学

CiteScore

7.30

自引率

5.00%

发文量

191

审稿时长

16. months

期刊介绍： RHEUMATOLOGY INTERNATIONAL is an independent journal reflecting world-wide progress in the research, diagnosis and treatment of the various rheumatic diseases. It is designed to serve researchers and clinicians in the field of rheumatology. RHEUMATOLOGY INTERNATIONAL will cover all modern trends in clinical research as well as in the management of rheumatic diseases. Special emphasis will be given to public health issues related to rheumatic diseases, applying rheumatology research to clinical practice, epidemiology of rheumatic diseases, diagnostic tests for rheumatic diseases, patient reported outcomes (PROs) in rheumatology and evidence on education of rheumatology. Contributions to these topics will appear in the form of original publications, short communications, editorials, and reviews. "Letters to the editor" will be welcome as an enhancement to discussion. Basic science research, including in vitro or animal studies, is discouraged to submit, as we will only review studies on humans with an epidemological or clinical perspective. Case reports without a proper review of the literatura (Case-based Reviews) will not be published. Every effort will be made to ensure speed of publication while maintaining a high standard of contents and production. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.